Table 2.
Type of Malignancy | Protocols | Cardiotoxicity |
---|---|---|
1. Hodgkin Lymphoma | 1st line 1. ABVD: Doxorubicin, Bleomycin, Vinblastine, Dacarbazine 2. B + AVD: Brentuximab Vedotin, Doxorubicin, Vinblastine, Dacarbazine 3. BEACOPP escalated: Bleomycin, Etoposide, Doxorubicin, Cyclophosphamide, Vincristine, Procarbazine, Prednisolone |
Heart Failure, heart attack, arrhythmias, pericardial effusion, peri-/myocarditis, hyper/hypotension, ischemia |
2. Non-Hodgkin Lymphomas | 1st line 1. R-CHOP: Rituximab, Cyclophosphamide, Vincristine, Prednisolone 2. R-da (dose adjusted) EPOCH: Rituximab, Etoposide, Vincristine, Doxorubicin, Cyclophosphamide, Prednisolone 3. CODOX-M/IVAC + R: Cyclophosphamide, Vincristine, Doxorubicin, High dose Methotrexate/ Ifosfamide, Etoposide, High Dose Cytarabine + Rituximab 4. R-Hyper—CVAD: Rituximab, Cyclophosphamide Vincristine, Doxorubicin, Dexamethasone/High Dose Methotrexate, High Dose Cytarabine 5. BR: Bendamustine, Rituximab |
Arrhythmias, ischemia, heart failure, peri-/myocarditis, hyper/hypotension |
3. Multiple Myeloma | 1st line 1. VRd: Bortezomib, Lenalidomide, Dexamethazone 2. DRd: Daratumumab, Lenalidomide, Dexamethazone 3. CRd: Carfilzomib, Lenalidomide, Dexamethasone 4. VCd: Bortezomid, Cyclophosphamide, Dexamethazone 5. VAd: Bortezomib, Doxorubicin, Dexamethasone |
Arrhythmias, atrial fibrillation, heart failure, myocarditis, hypertension |
4. Acute Promyelocytic Leukemia | 1st line 1. ATRA + Arsenic Trioxide (+/−Idarubicin, +/−Gemtuzumab Ozogamicin) |
Pleural or pericardial effusion, Arterial and venous thrombosis, heart failure, QT prolongation |
5. Acute Myeloid Leukemia | 1. Idarubicin + Cytarabine (+/−Midostaurin, +/−Gemtuzumab Ozogamicin) 2. Azacitidine + Venetoclax 3. LDAC: Low dose Cytarabine + Venetoclax |
Heart failure, arrhythmias, angina, pericarditis with effusion, QT prolongation, rarely edema, heart failure and myocardial infarction rarely induced by Venetoclax |
6. Acute Lymphoblastic Leukemia | 1. Hyper-CVAD +/− L-Asparaginase +/− TKI (Imatinibe, Dasatinib, Nilotinib, Bosutinib, Ponatinib) CVAD: Cyclophosphamide, vincristine, doxorubicin, dexamethasone |
Heart failure and/or Myocarditis, pericardial effusion, hypertension, arrhythmia, QT interval prolongation, pulmonary arterial hypertension arrhythmias, hypertension, arterial thrombosis |
7. Chronic Lymphocytic Leukemia | 1. Ibrutinib 2. Venetoclax + Obinutuzumab 3. Bendamustine + Rituximab 4. FCR: Fludarabine, Cyclophosphamide, Rituximab |
Atrial fibrillation, arrhythmias, hypotension, peri-/myocarditis |